The use of psychotropic substances like alcohol, cannabis, and opioids has a long history in India, but the current extent and patterns of their use remain poorly documented and regulated. This lack of reliable data has hindered the formulation of effective policies to address the issue of drug abuse. This article examines the magnitude of drug abuse in India, focusing on states with the highest prevalence, trafficking routes and infiltration of global drug cartels. It also examines the state of rehabilitation facilities and identifies best practices that India can adopt to address this escalating issue effectively....